NGUFOR FUBE DIVINE

FORT SAM HOUSTON, TX
NPI1669197208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R241388)
Enumeration Date2022-10-06
Last Update Date2025-11-19
Business Address
Dr. NGUFOR FUBE DIVINE CRNP-PMH
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-808-1859
Mailing Address
Dr. NGUFOR FUBE DIVINE CRNP-PMH
9001 HARFORD RD
PARKVILLE, MD 21234-4029
Phone number: 410-870-1590
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